Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

6.0K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
6.0K
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

293
In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
293
Flail Chest-II01:26

Flail Chest-II

747
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
747
Flail Chest-I01:24

Flail Chest-I

869
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
869

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A Scoping Review of Pediatric Kienböck Disease: What Do We Know?

Journal of hand surgery global online·2026
Same author

A mixed methods analysis of health literacy among adults with brachial plexus birth injury.

Journal of pediatric rehabilitation medicine·2026
Same author

Mapping Population-Level Differences in Brachial Plexus Birth Injury: An International Meta-Analysis.

The Journal of hand surgery·2026
Same author

Children's Health-Related Quality of Life After Brachial Plexus Birth Injury.

JAMA network open·2026
Same author

The Role of Initial Conservative Treatment for Suspected Triangular Fibrocartilage Complex Injuries in Children and Adolescents.

Journal of hand surgery global online·2026
Same author

Challenges in Clinical Research for Nerve Injuries (Nerve SPACE 2025).

Journal of hand surgery global online·2026

Related Experiment Video

Updated: Mar 1, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
04:08

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

1.7K

Pediatric Metacarpal Fractures.

Jenna Godfrey1, Roger Cornwall

  • 1Fellow, Department of Orthopaedic Surgery, Cincinnati Children's Hospital, Cincinnati, Ohio.

Instructional Course Lectures
|June 9, 2017
PubMed
Summary

Pediatric metacarpal fractures are common, especially in adolescents during sports. Some fractures, like thumb base and certain finger fractures, are unstable and require surgery, while others need careful alignment to prevent long-term issues.

Area of Science:

  • Orthopedics
  • Pediatric Traumatology
  • Hand Surgery

Background:

  • Metacarpal fractures represent a significant portion (10-35%) of pediatric hand injuries.
  • These fractures are most prevalent in adolescents (13-16 years), often linked to sports-related activities.
  • Distinguishing fractures from pseudoepiphyses requires careful clinical evaluation.

Purpose of the Study:

  • To review the epidemiology, classification, and management of pediatric metacarpal fractures.
  • To highlight specific fracture types that require surgical intervention or close monitoring.
  • To emphasize the importance of accurate diagnosis and treatment for optimal outcomes in pediatric hand injuries.

Main Methods:

  • Review of existing literature on pediatric metacarpal fractures.

More Related Videos

Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents
06:59

Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents

Published on: August 14, 2018

14.2K
Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
07:35

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

18.9K

Related Experiment Videos

Last Updated: Mar 1, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
04:08

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

1.7K
Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents
06:59

Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents

Published on: August 14, 2018

14.2K
Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
07:35

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

18.9K
  • Analysis of fracture patterns, injury mechanisms, and age distribution.
  • Discussion of diagnostic challenges and treatment strategies, including surgical indications.

    • Main Results:

    • Thumb metacarpal base fractures with specific features (lateral metaphyseal fragments, Salter-Harris III/IV variants) are unstable and necessitate surgery.
    • Finger metacarpal base fractures in young children may indicate high-energy trauma and raise concerns for compartment syndrome.
    • Metacarpal neck fractures are common, with specific angular alignments recommended for different digits to prevent malunion.
    • Metacarpal head fractures are rare intra-articular injuries requiring precise fixation, often challenging due to pediatric anatomy.

    Conclusions:

    • Effective management of pediatric metacarpal fractures depends on accurate diagnosis and understanding of fracture stability.
    • Certain metacarpal fractures, particularly those involving the thumb base or exhibiting instability, require prompt surgical intervention.
    • Close attention to potential complications like compartment syndrome and the need for precise reduction in rotational shaft fractures is crucial.